Last Modified: 7/28/2021
Location: FL, PR, USVI
Business: Part A, Part B
Q: Where do I mail my provider enrollment application?
A: You may mail your completed paper application to your assigned MAC. First Coast is the MAC assigned to jurisdiction N (JN), which encompasses Florida, Puerto Rico, and the U.S. Virgin Islands. If you are located within JN, please mail your completed provider enrollment application to the following address:
Provider Enrollment
P.O. Box 3409
Mechanicsburg, PA 17055-1849
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.
